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Applying motivational interviewing (MI) in counselling obese and overweight children and parents in Swedish child health care
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences. (LIR-gruppen)
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in West Östergötland, Department of Medical Specialist in Motala.
Linköping University, Department of Medical and Health Sciences, Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
2010 (English)In: Health Education Journal, ISSN 0017-8969, E-ISSN 1748-8176, Vol. 69, no 4, 390-400 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To evaluate how a motivational interviewing (MI) training course for child healthcare nurses in Sweden affected their work with children’s weight issues and their attitudes to MI.

Design: Cross-sectional survey, descriptive design.

Setting: Nurses were recruited from 33 different child healthcare centres in Östergötland, Sweden.

Method: Seventy-six nurses who had participated in an MI training course (held in 2008) were approached one year later to answer a questionnaire by telephone. Most questions concerned the respondents’ routine use of MI in clinical practice and their attitudes towards MI as a method.

Results: The response rate was 82 per cent. Nearly half of the nurses had changed the content and structure of their discussions regarding weight issues. Three-quarters of the nurses stated that they had sufficient time to use MI and that they had support from leadership and colleagues to use MI in their routine practice. The nurses’ attitudes to MI were positive, especially their perception that MI was consistent with their values and was better than traditional advice-giving approaches. Most MI techniques were found to be simple to use: 78 per cent found it very or quite simple to listen actively, 63 per cent believed it was very or quite simple to summarize parents’ opinions, 63 per cent found it very or quite simple to pay attention to parents’ change talk, and 60 per cent said that it was very or quite simple to ask permission before providing information.

Conclusion: MI training can have a substantial effect on child healthcare nurses’ clinical work on paediatric weight issues.

Place, publisher, year, edition, pages
London, UK: Sage Publications, 2010. Vol. 69, no 4, 390-400 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-60327DOI: 10.1177/0017896910373136ISI: 000285087600004OAI: oai:DiVA.org:liu-60327DiVA: diva2:356201
Available from: 2010-10-11 Created: 2010-10-11 Last updated: 2017-12-12Bibliographically approved
In thesis
1. Motivational Interviewing in Theory and Practice
Open this publication in new window or tab >>Motivational Interviewing in Theory and Practice
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

An estimated 50% of mortality from the 10 leading causes of death is due to behaviour. Individuals can make important contributions to their own health by adopting health-related behaviours and avoiding others. Motivational interviewing (MI) has emerged as a counselling approach for behavioural change that builds on a patient empowerment perspective by supporting autonomy and self-efficacy.

The overall aim of this thesis is to contribute to improved understanding of the different factors that impact on general health care professionals’ learning and practice of MI. Specific aims are; study I was to identify barriers, facilitators and modifiers to use MI with pharmacy clients in community pharmacies; study II was to identify barriers and facilitators to use MI with overweight and obese children in child welfare and school health services; study III was to evaluate the attitudes towards MI and clinical use of MI with children´s weight issues one year after child health care nurses’ participation in MI training; study IV was to systematically review studies that have evaluated the contents and outcomes of MI training for general health care professionals.

Participants in study I were 15 community pharmacy pharmacists in Östergötland, Sweden. Participants in study II were five child welfare centre nurses from the county council and six municipally-employed school health service nurses, all from Östergötland, Sweden. Data for both studies were obtained through focus group interviews. Study III, participants were 76 nurses from child health care centres in Östergötland, Sweden. 1-year after MI training they answered a survey. Study IV, the material was 10 empirical studies that have evaluated different aspects of MI training.

MI training for general health care providers is generally of short duration and tends to focus on specific topics such as diabetes, smoking, and alcohol. The training seems to contain more training on phase I elements, such as clients’ inner motivation, than on phase II, which involves strengthening clients’ commitment to change. MI is seen as practical and useful in work with lifestyle and health promotion issues, especially with issues that may be perceived as sensitive, such as alcohol and obesity. General health care providers have positive attitudes to MI and view MI as being compatible with their values and norms about how they want to work. Clients’ resistance reactions are difficult to handle in the first stages of learning MI, and may lead to frustration. Strategies to avoid resistance are including in the final stages of learning MI. Learning and clinical use of MI for general health care providers is influenced by interactions with their environment (colleagues, staff and organization). Unlearning of old knowledge can be a problem for general health care providers in the learning and clinical use of MI.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2010. 92 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1198
Keyword
Children, counselling, general health care, health promotion, motivational interviewing, nurse, overweight, pharmacist
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-60330 (URN)978-91-7393-334-6 (ISBN)
Public defence
2010-11-11, Aulan, Hälsans Hus, Universitetssjukhuset, Campus US, Linköpings universitet, Linköping, 09:00
Opponent
Supervisors
Available from: 2010-10-11 Created: 2010-10-11 Last updated: 2010-10-11Bibliographically approved

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Lindhe Söderlund, LenaMalmsten, JannaBendtsen, PrebenNilsen, Per

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